HomeMy WebLinkAboutwalls 2SU 1PLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: ` Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City.
Zip: Phone
Zip: Phone:
1J V 1mv_n1 a.L►im r nm%. ii uK Rrriiuv11: application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordine vour Notice of Commencement_
Sign ure of Owner/ Lessee/Contractor as Agent for Owner
Signal re of Contractor/License Holder
STATE OF FLORIDA - t
�"
STATE OF FLORIDA
COUNTY OF
COUNTY OF - `7 `� c
The forgoing instrument was acknowledged before me
The f oing instrument was acknowledged before me
this day of. DL-2 _ _ 20 by
ay of -✓ce , . 20� by
this _'lg d45"
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Name person m�ng statement
Name of person king statement
Personally Known ✓OR Produced identification
Personally Known OR Produced Identification
Type,of Identification
Type of Identification
Produced
Produced
ARTIN
of Notary P r �` P� '
F
!+� � public -State of Florida
INr(Signature
(Signature of Notary Public- St '� Notary Public - State
:• ; • Commission # FF 216951
3' •; Commission # FF 2
Commission No. My tkW, Expires Apr 5, 2019
Commission No. Comm. Expires Ap
'' �.°; ; ��•''•, Bonded through National Notary Assn
'+ Banded through National
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17
Assn.